Chi Health at Home - Omaha

I) failed to use proper hand hygiene, glove use, bag technique, and/or reusable equipment care during the provision of cares to 3 of 7 patients (Patient 1, 5, and 7) respectively.

The home health agency failed to complete a comprehensive assessment of the patient's physical therapy (PT) and/or occupational therapy (OT) needs no later than 5 days of the start of care (SOC) for 6 of 14 patients (Pt- 1, 3, 9, 10, 13, and 16) whose plan of care included orders for physical…

The agency failed to ensure treatments and services were completed as ordered on the plan of care (POC) for 2 of 17 clinical records reviewed (Pt 2 and Pt 7).

The agency failed to complete a comprehensive assessment for 1 of 17 patient records reviewed (Patient-7) who had a change of condition.

The agency failed to ensure staff followed the patients’ physician-approved plan of care for 1 of 17 patient records reviewed (Patient- 15).

The agency failed to ensure all staff follow the policy and procedure when documenting in the clinical notes for 1 of 17 patient records reviewed (Patient-15).

The agency failed to ensure the supervising registered nurse (RN) updated the home health aide care plan with written, clear, complete and individualized patient care instruction when changes in patient’s health status occurred for 1 of 2 patient records reviewed who receive home health aide…

The agency failed to notify the patient/patient representative in advance of a reduction in the frequency of services provided for 1 of 17 patient records reviewed (Pt-7).

The agency failed to update the physician of a change in condition for 1 of 17 patient records reviewed (Patient-15).

The agency failed to include the progress towards the patient and agency identified measurable outcomes and goals on the plan of care for 6 of 6 patient records reviewed who had a revised/updated plan of care (Patient- 5, 6, 7, 9, 10, and 15).

The agency failed to complete an initial comprehensive assessment within 48 hours (2 days) of the date of referral and/or return home and failed to obtain a physician ordered start of care (SOC) date if unable to complete the initial comprehensive assessment within 48 hours of the date of referral…

The agency failed to ensure all patient cares were provided in accordance with the physician approved written Plan of Care (POC) and failed to notify the physician of the need to alter the POC for 2 of 17 patients (Patients 10 and 14).

The agency failed to ensures all staff followed proper standard precautions/hand washing/sanitizing/gloving to prevent infection or the transmission of communicable disease for 2 of 7 patients observed during the provision of cares by agency staff in the patient's home (Patients 1 and 6).